Membership Information

Important Initial Appointment and Membership Details

• Initial Appointment & Payment: Your first 1-hour initial consult is booked and paid for upfront. This initial payment secures time with your provider and is not your first monthly membership payment. Standard labs for the initial appointment are provided at no cost. Any additional labs or time with your provider beyond the standard initial panel must be paid prior to your appointment. You are under NO OBLIGATION to become a member with us if you choose not to move forward after your initial appointment.
• Membership Start Date: Membership begins AFTER your initial appointment, specifically when you pay for your first medication invoice. Once you complete your initial consult, you are under no obligation to continue with membership or treatment. If you decide to proceed with medications, membership starts at the time you begin your medications. You must be an active member with us to receive any services.
• Labs: Please note that we use Quest for all lab services. We DO NOT accept outside labs for your initial labs or for your every 6 month lab panels.
• Additional Labs: Labs included in your membership (comprehensive hormone panel every 6 months) are provided at no extra cost at Quest labs. We do not modify our lab panels that are included in your membership. However, if you would like to add something to your panel, you may do so for an additional charge. Lab panels requested outside of the every six month included panels will be billed at our standard cash-pay rate. 
• Outside testing: We will review and provide members with a review and report for outside testing (testing not ordered by us). However, there is a charge per test for us to review these.  The amount depends on the complexity of the testing. If you order testing through us (DUTCH, GI Map, Genetic testing, labs, etc) then the price of the interpretation and the report is included in the price of the testing. WE DO NOT ACCEPT ANY OUTSIDE LABS OR TESTING UNLESS YOU WOULD LIKE TO PAY FOR YOUR PROVIDER TO REVIEW THEM AND PROVIDE YOU WITH A SUMMARY. We DO NOT accept outside labs for your initial labs or for you every 6 month hormone labs.
• Payment & Billing: Monthly memberships are billed on the same day each month by automatic draft (after your first medication payment). Annual memberships ($1,089) renew automatically each year using your payment method on file until you cancel; we will email you a reminder 15 to 30 days before your renewal date. Membership must remain current to receive medical or coaching services.
• Appointments: Our time is valuable and so is yours. We will allow patients 5 minutes to show for appointments. If you do not show within 5 minutes of your scheduled appointment, your appointment will be cancelled. If you cancel within 24 hours of your scheduled time or do not show for your scheduled appointment, there will be a $100 cancellation fee required prior to allowing you to reschedule. IF YOU ARE A NEW PATIENT AND YOU NO CALL, NO SHOW FOR YOUR FIRST APPOINTMENT YOU WILL BE REQUIRED TO PAY $199 IN ORDER TO SECURE ANOTHER APPOINTMENT. Please note that if you no call, no show for your first appointment, we reserve the right to not accept you as a patient at our practice. We do not appreciate patients wasting provider time just as you would not appreciate us wasting your time and not showing for your appointment.
• Refills: Once you decide to become a member with us, refills will be done every 60 days on average. When you are about 3 weeks out from needing your refill, you will receive a refill assessment to fill out. Please fill that out and return to us in order to start your refill process. Please note that if you get off schedule with all medications being on a 60 day schedule, your refill assessment may not come at the correct time. However, you can always fill out a refill assessment anytime on our website.
• Membership Options: No Limits Medical Membership ($99/month; $1,089/year) is designed for patients who prefer to navigate most of their care independently and reach out when they have occasional questions — with membership access to their clinical team, follow-ups, and labs. Memberships are non-refundable once paid. RN-Led Coaching ($1,500/quarter, paid up front) is an optional add-on for closer, up to weekly support — especially helpful if you are new to hormone therapy, are managing multiple goals, or want help getting dialed in. RN-Led Coaching requires an active membership, and coaching fees are non-refundable once paid. For No Limits Reserve (limited capacity), see nolimitsmedical.com/no-limits-reserve.
• Scheduling Coaching (RN-Led Coaching add-on): RN-Led Coaching is an optional quarterly add-on ($1,500/quarter, paid up front) and requires an active membership. It is your responsibility to schedule your coaching appointments. No discounts or credits are given for unused sessions.
• No Contracts: We do not require any contracts to be a patient with us for any specific amount of time. We do not feel this is the best way to conduct a provider/patient relationship. You are free to cancel at any time by simply following the cancellation policy below. However, you must be a current patient (currently paying monthly membership and not be behind in payments) in order to receive any of our services. This includes, but is not limited to, clinical communications, labs, appointments, prescriptions and advice. Please note that all membership fees paid are non-refundable once paid. This includes the annual membership.
• Individualized Care: We WILL ALWAYS provide individualized and customized care. No two patient protocols are the same. There are no cookie cutter protocols here.
• Membership Cancellation Policy: You may cancel your membership at any time with 48 business hours written notice (email or text). Cancellations cannot be processed between medication refills and then restarted solely to obtain a refill. If you experience financial hardship, please discuss this with us. We reserve the right to decline re-enrollment if a pattern of cancellation/restart appears to circumvent our policies. We value honesty and expect the same in return. If you cancel, your membership benefits continue through the end of the period you have already paid for, and then end. After that, we can no longer provide ongoing services such as messaging, labs, appointments, or refills. We will make your records available to you and, on request, to your next provider, and we will let you know of any time-sensitive follow-up we are aware of.  
• Memberships are non-refundable once paid: Please note that, once paid, monthly membership payments are NON-REFUNDABLE. If you would like to cancel, you must provide us with 48 BUSINESS HOURS notice. If you cancel outside of business hours or on a weekend your payment may go through and it is NON-REFUNDABLE after it has gone through. So if you would like to cancel, please be certain that you do so with enough required notice.
• Insurance & Billing: We do not bill insurance—ever. Any attempt to seek insurance coverage for our services is between you and your insurance company. We do not participate in or assist with insurance billing, claims, letters of medical necessity or reimbursement processes. We do not accept insurance, bill insurance, fill out any types of insurance forms or provide letters of medical necessity to insurance companies. WE ARE A CASH PAY ONLY CLINIC. 
• Products & Protocols: Our treatments and protocols use non-FDA-approved compounded medications and personalized approaches. If you are not comfortable with non-FDA-approved options, we respect your decision, and this practice may not be the right fit for you. All medications are sourced from US-licensed, compounding pharmacies. Medication invoices will be for 60 days of medication, not 30. All medications are non-refundable once they are placed to the pharmacy so please be sure to always review your invoices to ensure that they are correct prior to paying.
• Prescription Fulfillment: For quality control, safety, correct dosing, specialized dosing, specialized protocols and consistency, we DO NOT send prescriptions to local retail pharmacies. Please do not ask us to do this - we will not. All prescriptions are fulfilled through our partnered compounding pharmacies and will be shipped directly to your home. Pharmacies WILL NOT ship to PO Boxes or commercial addresses.
• Hormone Care: If you are doing hormone care with us, we do require that you get all hormones from us. It is impossible and unsafe for us to try and manage hormones that are prescribed by someone else. This ONLY applies to hormone medications. We are unable to provide medical advice on medications not prescribed by us. If you have questions about these medications, you should talk with the provider who prescribes these for you.
• Additional Information: We DO NOT provide answers to medical questions on our information call or prior to your initial appointment as this would be medically inappropriate. The information call is for sign up or general questions. Medical questions will only be answered and labs will only be reviewed once you have signed up and your provider has the chance to review all of your information and discuss your unique history, goals and labs. Medication pricing depends on your individualized plan, so we provide an itemized invoice after your initial appointment. You may request a Good Faith Estimate at any time. Every patient has unique needs, histories, goals and desires, and we have a huge amount of products available, so it is impossible to provide pricing until you have had that first meeting with your provider. Once you have had your initial appointment with your provider, you will receive a detailed invoice for your plan and any medically appropriate changes to that plan can be made by you and your provider. You will understand all pricing prior to paying and you will ALWAYS see an itemized invoice prior to paying (with the exception of the monthly membership - once initially paid the monthly membership payment is auto-drafted).
• Right to Refuse Service - We may decline or end a patient relationship for any lawful reason, including safety, nonpayment, or conduct concerns. We will not decline care on the basis of any characteristic protected by law.  If we feel you are not a good fit for our clinic, we will provide you with all necessary documentation in your patient portal to transition your care. If you decide to cancel, we do reserve the right to not accept you back if we feel you were not a good fit for our clinic and were not a strong participant in your own care.

Membership Information

Appointment Times & Cancellation Policy

• Your appointment time is reserved specifically for you. We ensure your provider has ample time to address all your concerns thoroughly during your visit. Appointments begin on time to guarantee you receive your full allotted time and to prevent delays for subsequent patients. If you arrive more than 5 minutes late, we will reschedule your appointment and you will have a $100 no-show fee that must be paid prior to rescheduling.

Cancellation Policy

• If you no call/no show for your appointment or cancel within 24 hours, there will be a $100 cancellation fee imposed for both medical and coaching appointments that must be paid prior to rescheduling your appointment. 

We are committed to transparency and delivering high-value, personalized care. If you have any questions about our membership or policies, please reach out—we’re here to help.

Last updated October 29, 2026

No Limits Medical may receive compensation for supplements ordered through Fullscript. You are welcome to purchase recommended supplements from any source. Supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure or prevent any disease. Our Fullscript store offers a 10% discount, and you do not need to be a No Limits Medical patient to use it. Discounts may vary by order. Labs and select products not eligible.

Some medications we prescribe are compounded by licensed pharmacies or used off-label. Compounded medications are not FDA-approved. Your provider will answer any questions that you have about the benefits and risks for any medication.